Organization Active NPI

LS Medical Supply Inc

  • Oxygen Equipment & Supplies (DME)
  • Brooklyn, NY
National Provider Identifier
1609987627
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1113966 Issued in NY
Legal business name
LS MEDICAL SUPPLY INC
Practice address
7709 17TH Ave
Brooklyn, NY 11214-1101
Phone
(374) 554-8587
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lev Shapiro
Title
President
Phone
(347) 554-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1113966 NY Primary

Addresses

Primary practice location

7709 17TH Ave
Brooklyn, NY 11214-1101

Mailing address

7709 17TH Ave
Brooklyn, NY 11214-1101
Phone (374) 554-8587

Other identifiers 1

IdentifierTypeStateIssuer
02277145MedicaidNY

National Provider Directory

National Provider Directory

Locations

6901 15th Ave
Brooklyn, NY 11228
Phone (718) 837-4773

7709 17th Ave
Ste 1
Brooklyn, NY 11214
Phone (347) 554-8587

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1609987627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141101",
            "telephone_number": "374-554-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141101",
            "telephone_number": "374-554-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-554-8587"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "1113966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277145",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.